Hi
Glad to see you are making progress with your health issues.
I know it's a long haul.
I've been playing Black Desert Online, it's very different from other MMOs and at first I was totally lost.
After playing for a few weeks I'm starting to get the idea of what I'm supposed to do.
One of the neat things is AFK fishing, you just leave your character fishing with a pole while you are away, like overnight, and you character will catch fish that you can sell at the market for substantial money in the morning.
Just don't wait too long, they are wort more when they are fresh and worth nothing after 24 hours game time.
I can't imagine that you won't be able to add what you want to the start menu, but I've used Rocket Dock for so long, (through many versions of Windows) that I almost never use my start menu anyway.
I've had everything in the same order arranged by categories for so long that I don't even have to look for them when I want to open something.
Games on the Right, then Windows Tools, Graphic Arts software, Video software, then, Music related.
My main links, i.e. Browsers, Email, Snipping Tool, Word, etc. go on my Task Bar.
Mike